Individual
DERRICK D DARBOUZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4601 WESTFIELD AVE, PENNSAUKEN, NJ 08110-3029
(856) 663-3405
Mailing address
1901 CALLOWHILL ST, APT 219, PHILADELPHIA, PA 19130-4150
(201) 458-4488
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03853300
NJ
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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